Inguinal hernia repair
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 49505 (CPT)
- CPT Billing Code: 49505
- Insurance Median: $952
- Cash Discount Price: $2,578
- vs. Medicare Baseline: 0.26x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $3,657.95 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Direct Benefit-All Plans | $167 - $1,208 | 5% |
| UnitedHealthcare | $202 - $5,032 | 6% |
| Berkley Net-All Plans | $279 - $2,013 | 8% |
| Trustmark Health Benefits-All Plans | $307 - $2,214 | 8% |
| Aetna | $307 - $3,422 | 8% |
| Meritain Health-All Plans | $314 - $2,264 | 9% |
| Ambetter / Centene | $335 - $2,415 | 9% |
| Axa Equitable - All Plans | $383 - $2,768 | 10% |
| Pinnacol-All Plans | $390 - $2,818 | 11% |
| Medi-Share-All Plans | $397 - $2,868 | 11% |
| Presbyterian-All Plans | $425 - $3,070 | 12% |
| Kasb Work Comp - All Plans | $446 - $3,220 | 12% |
| The Kempton Group Admin-All Plans | $481 - $3,472 | 13% |
| Gpha(Wppa)-All Other Plans | $488 - $3,522 | 13% |
| Auxiant - All Plans | $488 - $3,522 | 13% |
| Wppa- All Plans | $495 - $3,573 | 14% |
| Providers Care Network- All Plans | $502 - $3,623 | 14% |
| Emc-All Plans | $502 - $3,623 | 14% |
| Sisco-All Plans | $502 - $3,623 | 14% |
| Gpha Employee Benefit Plan | $509 - $3,673 | 14% |
| Regional Care(Wppa)-All Plans | $523 - $3,774 | 14% |
| Employee Benefit-All Plans | $523 - $3,774 | 14% |
| Triangle-All Plans | $530 - $3,824 | 14% |
| First Health -All Plans | $530 - $3,824 | 14% |
| One Call Physician-All Plans | $537 - $3,875 | 15% |
| Blue Cross Blue Shield | $551 - $3,975 | 15% |
| Tricare | $558 - $4,026 | 15% |
| Christian Hospital Aid - All Plans | $558 - $4,026 | 15% |
| Humana | $599 - $4,328 | 16% |
| Cigna | $613 - $4,428 | 17% |
| Luminare Health- All Plans | $613 - $4,428 | 17% |
| Deseret Mutual(Uhis)-All Plans | $627 - $4,529 | 17% |
| Coresource-All Plans | $627 - $4,529 | 17% |
| Vaccn-All Plans | $641 - $4,629 | 18% |
| Hma Llc-All Plans | $662 - $4,780 | 18% |
| Reserve National-All Plans | $662 - $4,780 | 18% |
| Wps Vapc-All Plans | $662 - $4,780 | 18% |
| Medicaid / KanCare | $697 - $5,032 | 19% |
Consumer Guidance & Cost Commentary
If you are paying cash for an inguinal hernia repair at Satanta District Hospital, Clinics, & Ltcu, your best option is likely the cash rate of $2,578, which is significantly lower than the facility's gross charge of $2,865. For patients with high-deductible plans where insurance has not yet met their deductible, paying this cash price can be more cost-effective than using insurance, as the median negotiated rate for in-network payers is $952 but often exceeds the cash amount until the patient's deductible is fully satisfied. It is important to verify with the hospital beforehand whether a "self-pay" or "prompt-pay" discount is available, as these upfront payment incentives can further reduce the final bill by bypassing administrative costs and collection fees.
The pricing context for this service shows that the cash rate is well below the facility's gross charge, while the median negotiated rate of $952 represents the contractually agreed-upon ceiling for in-network commercial insurance, which includes administrative overhead and claim processing costs. While the data does not provide specific averages for Kansas state or county comparisons, the facility's ownership as a Government - Hospital District or Authority and its classification as a Critical Access Hospital may influence how these rates are structured relative to regional benchmarks. Patients should be aware that commercial payers like UnitedHealthcare and Humana have negotiated rates ranging from $202 to $4,813, meaning that if your plan's allowed amount is lower than the cash price, paying out-of-pocket could result in substantial savings compared to standard insurance billing.